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International Journal of Public Health

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01-03-2020 | Acute Coronary Syndrome | Original article

Acute coronary syndrome and use of biomass fuel among women in rural Pakistan: a case–control study

Authors: Zafar Fatmi, Ambreen Sahito, Georgia Ntani, David Coggon

Published in: International Journal of Public Health | Issue 2/2020

Abstract

Objectives

Three billion people use biomass fuel for cooking and heating globally. We assessed the association between acute coronary syndromes (ACS) and use of biomass fuel for cooking.

Methods

We conducted a case–control study among women living in defined areas that were served by two tertiary care hospitals. A total of 364 women admitted to cardiac care units with ACS were compared with 727 controls, individually matched for age, who were inpatients at the same hospitals with a miscellany of diagnoses. Exposure to biomass fuel and other risk factors was ascertained through a questionnaire and assessed by conditional logistic regression.

Results

After adjustment, risk of ACS was elevated in women who had ever used biomass for cooking. In comparison with never users, the odds ratio for those who currently cooked with biomass was 4.8 (95% confidence interval 1.7, 13.8). However, among those who had ever used biomass, there was no decline in risk with time since last exposure.

Conclusions

The study found increased risk of ACS from use of biomass for cooking. However, full benefits from interventions may not accrue in short term.

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Title: Acute coronary syndrome and use of biomass fuel among women in rural Pakistan: a case–control study
Authors: Zafar Fatmi
Ambreen Sahito
Georgia Ntani
David Coggon
Publication date: 01-03-2020
Publisher: Springer International Publishing
Keyword: Acute Coronary Syndrome
Published in: International Journal of Public Health / Issue 2/2020
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-020-01339-w

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Acute coronary syndrome and use of biomass fuel among women in rural Pakistan: a case–control study

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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